health assessment practice questions

Questions 45

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health assessment practice questions Questions

Question 1 of 5

A 31-year-old patient tells the nurse that he has noticed pain in his left ear when people speak loudly to him. The nurse knows that this finding:

Correct Answer: C

Rationale: The correct answer is C because pain in the ear when people speak loudly can be a sign of a middle ear infection. This is due to increased pressure in the middle ear caused by inflammation or fluid buildup. Recruitment (B) is a phenomenon related to hearing loss, not ear pain. Cerumen impaction (D) would not typically cause pain in response to loud sounds. It is not normal for a person of that age to experience ear pain when people speak loudly (A).

Question 2 of 5

A 31-year-old patient tells the nurse that he is experiencing a progressive loss of hearing. He says that it does seem to help when people speak more loudly or if he turns up the volume. The most likely cause of his hearing loss is:

Correct Answer: A

Rationale: The correct answer is A: otosclerosis. Otosclerosis is a condition where abnormal bone growth in the middle ear causes hearing loss. In this case, the patient's symptoms of progressive hearing loss improving with louder sounds suggest conductive hearing loss, which is commonly seen in otosclerosis. Other choices are incorrect because presbycusis is age-related hearing loss, trauma to the bones would typically result in sudden hearing loss, and frequent ear infections are more likely to cause temporary hearing loss rather than progressive loss.

Question 3 of 5

A pregnant woman states that she is concerned about her gums because she has noticed they are swollen and have started bleeding. What would be an appropriate response by the nurse?

Correct Answer: C

Rationale: Step 1: Swollen and bleeding gums during pregnancy can be a sign of gingivitis or pregnancy gingivitis. Step 2: Dental check-ups during pregnancy are important to prevent potential complications. Step 3: Referring the woman to a dentist ensures proper evaluation and treatment. Step 4: Dental care is safe during pregnancy, so timely intervention is crucial. Step 5: Option C is correct as it addresses the concern with a proactive approach.

Question 4 of 5

During ear examination, the patient reports that he is hears a buzzing sound that is"driving me crazy!" The nurse recognizes that this symptom is:

Correct Answer: C

Rationale: The correct answer is C: tinnitus. Tinnitus is the perception of sound without an external source, often described as ringing, buzzing, or hissing. In this case, the patient reporting a buzzing sound aligns with tinnitus. Vertigo (A) is a sensation of spinning or dizziness, not a sound perception. Pruritus (B) is itching, not a sound perception. Cholesteatoma (D) is a benign growth in the middle ear, not specifically related to sound perception. Therefore, tinnitus is the most appropriate choice based on the patient's symptom of hearing a buzzing sound.

Question 5 of 5

A mother brings her 4-month-old to the clinic with concerns about a small padlike growth on the mid- upper lip that has been present since the baby was 1 month old. The infant has no health problems. On physical examination, the nurse notes a 5-cm, fleshy, elevated area on the mid-upper lip. There is no evidence of inflammation or drainage. What would the nurse tell this mother?

Correct Answer: D

Rationale: The correct answer is D because a sucking tubercle is a normal finding in infants caused by friction during breastfeeding or bottle feeding. The growth is typically painless, noninflammatory, and resolves on its own over time. This explanation reassures the mother that the condition is harmless and does not require any specific treatment. Choice A is incorrect because teething does not cause a sucking tubercle. Choice B is incorrect as there is no indication of abnormality that warrants specialist evaluation. Choice C is incorrect because chronic drooling does not typically result in a sucking tubercle.

Similar Questions

A mother brings her 4-month-old to the clinic with concerns about a small padlike growth on the mid- upper lip that has been present since the baby was 1 month old. The infant has no health problems. On physical examination, the nurse notes a 5-cm, fleshy, elevated area on the mid-upper lip. There is no evidence of inflammation or drainage. What would the nurse tell this mother?
During an examination, the nurse finds that a patient's left temporal artery is more tortuous and feels hardened and tender compared with the right temporal artery. What condition does the nurse suspect?
During the examination of a patient in her third trimester of pregnancy, the nurse notices that the patient's thyroid gland is slightly enlarged. No enlargement had been noted previously. The nurse suspects that:
When examining the face, the nurse is aware that the two pairs of salivary glands that are accessible to examination are the _____ glands.
During an assessment, a patient says that she was diagnosed with open-angle glaucoma 2 years ago. There are various types of glaucoma, such as open-angle glaucoma and closed-angle glaucoma. Which of the following are characteristics of open-angle glaucoma? (Select all that apply.)

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